Hereditary Hemorrhagic Telangiectasia in Pediatric Age: Focus on Genetics and Diagnosis

Hereditary Hemorrhagic Telangiectasia (HHT) or Rendu–Osler–Weber Syndrome (ROW) is an autosomal dominant vascular disease, with an estimated prevalence of 1:5000. Genes associated with HHT are <i>ACVRL1</i>, <i>ENG</i>, <i>SMAD4</i>, and <i>GDF2</i>, a...

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Main Authors: Cesare Danesino, Claudia Cantarini, Carla Olivieri
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Pediatric Reports
Subjects:
Online Access:https://www.mdpi.com/2036-7503/15/1/11
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author Cesare Danesino
Claudia Cantarini
Carla Olivieri
author_facet Cesare Danesino
Claudia Cantarini
Carla Olivieri
author_sort Cesare Danesino
collection DOAJ
description Hereditary Hemorrhagic Telangiectasia (HHT) or Rendu–Osler–Weber Syndrome (ROW) is an autosomal dominant vascular disease, with an estimated prevalence of 1:5000. Genes associated with HHT are <i>ACVRL1</i>, <i>ENG</i>, <i>SMAD4</i>, and <i>GDF2</i>, all encoding for proteins involved in the TGFβ/BMPs signaling pathway. The clinical diagnosis of HHT is made according to the “Curaçao Criteria,” based on the main features of the disease: recurrent and spontaneous epistaxis, muco-cutaneous telangiectases, arteriovenous malformations in the lungs, liver, and brain, and familiarity. Since the clinical signs of HHT can be misinterpreted, and the primary symptom of HHT, epistaxis, is common in the general population, the disease is underdiagnosed. Although HHT exhibits a complete penetrance after the age of 40, young subjects may also present symptoms of the disease and are at risk of severe complications. Here we review the literature reporting data from clinical, diagnostic, and molecular studies on the HHT pediatric population.
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spelling doaj.art-a1c28f9b63144cd3a9ce844a7ba9544b2023-11-17T13:11:07ZengMDPI AGPediatric Reports2036-75032023-02-0115112914210.3390/pediatric15010011Hereditary Hemorrhagic Telangiectasia in Pediatric Age: Focus on Genetics and DiagnosisCesare Danesino0Claudia Cantarini1Carla Olivieri2General Biology and Medical Genetics Unit, Department of Molecular Medicine, University of Pavia, 27100 Pavia, ItalyGeneral Biology and Medical Genetics Unit, Department of Molecular Medicine, University of Pavia, 27100 Pavia, ItalyGeneral Biology and Medical Genetics Unit, Department of Molecular Medicine, University of Pavia, 27100 Pavia, ItalyHereditary Hemorrhagic Telangiectasia (HHT) or Rendu–Osler–Weber Syndrome (ROW) is an autosomal dominant vascular disease, with an estimated prevalence of 1:5000. Genes associated with HHT are <i>ACVRL1</i>, <i>ENG</i>, <i>SMAD4</i>, and <i>GDF2</i>, all encoding for proteins involved in the TGFβ/BMPs signaling pathway. The clinical diagnosis of HHT is made according to the “Curaçao Criteria,” based on the main features of the disease: recurrent and spontaneous epistaxis, muco-cutaneous telangiectases, arteriovenous malformations in the lungs, liver, and brain, and familiarity. Since the clinical signs of HHT can be misinterpreted, and the primary symptom of HHT, epistaxis, is common in the general population, the disease is underdiagnosed. Although HHT exhibits a complete penetrance after the age of 40, young subjects may also present symptoms of the disease and are at risk of severe complications. Here we review the literature reporting data from clinical, diagnostic, and molecular studies on the HHT pediatric population.https://www.mdpi.com/2036-7503/15/1/11hereditary hemorrhagic telangiectasiaHHTpediatric agerare disease
spellingShingle Cesare Danesino
Claudia Cantarini
Carla Olivieri
Hereditary Hemorrhagic Telangiectasia in Pediatric Age: Focus on Genetics and Diagnosis
Pediatric Reports
hereditary hemorrhagic telangiectasia
HHT
pediatric age
rare disease
title Hereditary Hemorrhagic Telangiectasia in Pediatric Age: Focus on Genetics and Diagnosis
title_full Hereditary Hemorrhagic Telangiectasia in Pediatric Age: Focus on Genetics and Diagnosis
title_fullStr Hereditary Hemorrhagic Telangiectasia in Pediatric Age: Focus on Genetics and Diagnosis
title_full_unstemmed Hereditary Hemorrhagic Telangiectasia in Pediatric Age: Focus on Genetics and Diagnosis
title_short Hereditary Hemorrhagic Telangiectasia in Pediatric Age: Focus on Genetics and Diagnosis
title_sort hereditary hemorrhagic telangiectasia in pediatric age focus on genetics and diagnosis
topic hereditary hemorrhagic telangiectasia
HHT
pediatric age
rare disease
url https://www.mdpi.com/2036-7503/15/1/11
work_keys_str_mv AT cesaredanesino hereditaryhemorrhagictelangiectasiainpediatricagefocusongeneticsanddiagnosis
AT claudiacantarini hereditaryhemorrhagictelangiectasiainpediatricagefocusongeneticsanddiagnosis
AT carlaolivieri hereditaryhemorrhagictelangiectasiainpediatricagefocusongeneticsanddiagnosis